Doctor Name: | MS. BRENDA JANINE SWANN |
NPI Number: | 1700976875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | LP00046878 |
Business Practice Address: | 7825 N Sound Dr Sedro Woolley, WA - 982847675 |
Business Phone Number: | 8009037952 |
Business Fax Number: | 4253498544 |
Mailing Address: | Po Box 247, 31899 Carpenter Rd. LYMAN |
State: | WA |
Postal Code: | 982630047 |
Phone Number: | 3609296201 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LP00046878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |